02 Oct
|
Volto Consulting
|
Bengaluru
02 Oct
Volto Consulting
Bengaluru
? Role: Associate III - BPM/ Healthcare Payer
? Experience: 3–5 Years
? Location: PAN India
? Domain: Healthcare / Health Insurance
? Key Skills
✅ TriZetto Facets
✅ Benefits Administration
✅ Claims Management
✅ Healthcare Payer Systems
✅ Product & Group Configuration
✅ Benefit Plan Configuration
✅ Group Setup & Implementation
✅ Healthcare Insurance Products
? Key Responsibilities
• Configure healthcare products, groups, accounts, sub-accounts, and benefit structures in TriZetto Facets
• Handle recent group setups, renewals, amendments, terminations, and maintenance
• Configure benefit plans, accumulators, eligibility rules, and plan attributes
• Analyze business requirements, benefit documents, contracts, and implementation guides
• Perform configuration validation and unit testing
• Support QA testing, defect resolution, implementation, and production stabilization
• Maintain configuration documentation and implementation records
? Domain Knowledge
• Healthcare Payer Operations
• Benefit Plan Design
• Enrollment & Membership
• Claims Processing
• Provider Networks
• Commercial / ACA / Medicare / Medicaid
📌 Associate III (Bengaluru)
🏢 Volto Consulting
📍 Bengaluru